Organization
FOUNDATION FOR POSITIVELY KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY A NEW (VICE PRESIDENT OF MEDICAL CLINICS)
(702) 455-5639
Entity
Organization
Contact information
Practice address
2480 E TOMPKINS AVE STE 200, LAS VEGAS, NV 89121-7394
(702) 262-0037
(725) 204-9970
Mailing address
2480 E TOMPKINS AVE STE 222, LAS VEGAS, NV 89121-7625
(702) 455-5639
(702) 262-0252
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250014071
—
NV
Enumeration date
02/27/2019
Last updated
08/11/2021
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